Ghorayeb B Y, Yeakley J W
Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical School, Houston.
Laryngoscope. 1992 Feb;102(2):129-34. doi: 10.1288/00005537-199202000-00005.
Classical descriptions and illustrations of temporal bone fractures are misleading. Both oblique and longitudinal fractures produce a similar fracture line in the middle cranial fossa; however, externally, they are different. Oblique fractures cross the petrotympanic fissure while longitudinal fractures run within it. In a study of 150 temporal bone fractures, the majority were oblique. An array of fracture planes accounts for most of the fractures observed. Depending on the direction of trauma, fracture planes rotate around an anteroposterior axis. When they approach the horizontal (axial) plane, they result in oblique fractures. True longitudinal fractures are rare. They are vertical and perpendicular to the oblique planes.
颞骨骨折的经典描述和图示具有误导性。斜行骨折和纵行骨折在中颅窝产生的骨折线相似;然而,在外部表现上,它们有所不同。斜行骨折穿过岩鼓裂,而纵行骨折则沿岩鼓裂走行。在一项对150例颞骨骨折的研究中,大多数为斜行骨折。一系列骨折平面构成了观察到的大多数骨折情况。根据外伤方向,骨折平面绕前后轴旋转。当它们接近水平(轴位)平面时,会导致斜行骨折。真正的纵行骨折很少见。它们是垂直的,且与斜行平面垂直。